Diagnostic Classification: 0-3R. A Tool for Early Interactive Clinical Assessment

  • Matylda Alecian
  • François MedjkaneEmail author


iInternational diagnostic classifications such as the DSM-5 and the ICD-10 are currently in use both in adult and child psychiatry. However, they lack developmental and interactive perspective. They are therefore insufficiently relevant to the field of infancy and early childhood. In fact, the specific nature of psychiatric diagnosis for children is now well recognized. To address this essential issue, the Zero to Three Diagnostic Classification (DC: 0-3) appeared in 1994. In the absence of sufficient data on the practice of the new broader classification from 0 to 5, published at the end of 2016, we aim to describe the current use of the revised edition of this unique classification which is widely used and translated around the world. We will first describe the five axes of the classification. The clinical diagnostic, and therapeutic effectiveness of the DC: 0-3 will be illustrated by two clinical cases.

The five axes that constitute the DC: 0-3R have the merit of clearly expressing the idea that a clinical situation needs to be apprehended globally. The tool presented here includes a vast array of elements ranging from the infant’s symptoms and interactive capacities to his/her relationships and the environmental impact he/she is submitted to longitudinally. It opens a new way of assessing what is "not going well" as much as how to try to reorganize the resources available in order to move forward in a more positive direction.


Classification DC: 0-3 Very young infants Early development 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Maternité, Hôpital Privé de Marne La Vallée, Bry sur Marne (94)Bry-sur-MarneFrance
  2. 2.Service de Psychiatrie de l’Enfant et de l’AdolescentCHU Lille, Universitary Hospital of LilleLilleFrance

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